Apr 11th, 2017
The Centers for Medicare & Medicaid Services (CMS) unveiled a fact sheet to improve understanding of HIPAA’s least-known provision, Administrative Simplification. The FAQ helps explain the three-pronged approach to simplification: electronic transactions, code sets, and unique identifiers. CMS said the fact sheet explains how Administrative Simplification standards streamline day-to-day t...
Apr 7th, 2017
Are you tired of always being the last one to know when the Centers for Medicare & Medicaid Services (CMS) has issued a final rule or transmittal with new coding/billing guidance? Be the first to learn of new Medicare regulations and become a valuable resource for your providers. Simply go to www.cms.gov and scroll toward the ...
Mar 30th, 2017
Since electronic medical records (EMR) have become prevalent, there has been concern whether documentation in the patient record accurately reflects medical necessity and the services provided. When I started working in the healthcare setting, we always told providers, “Not documented, not done.” Now, when I review a chart note, the question I have to ask ...
Mar 27th, 2017
Staff is a critical component of a hospital. Patients often have more interaction with staff than physicians. Properly trained and educated staff can be strong protection against a professional liability claim. Consider the following risk tips for hospital employees: Prepare written job descriptions for all staff. Review each employee’s job description at their annual performance evaluation t...
In CMS
Mar 20th, 2017
Physicians may provide “professional courtesy” discounts to other physicians, as well as to those with whom they work or have a personal relationship (e.g., office staff, hospital employees, and family members). Professional courtesy services can create legal liabilities under Stark anti-kickback laws, which define the practice as “the provision of free or discounted healthcare items ...